Modèle d'intervention pharmacien-médecin pour réduire l'utilisation de médicaments à haut-risque par les personnes âgées vivant dans la communauté


Cossette Benoît

McMaster University


Domaine : Vieillissement

Programme : Formation postdoctorale (citoyens canadiens ou résidents permanents)

Concours 2016-2017


Unité SOUTIEN du Québec (Stratégie de recherche axée sur le patient)

Drug prescribing for seniors is often complex due to multiple chronic diseases for which many drugs are prescribed. In addition, older adults are usually more susceptible to adverse drug reactions. This is particularly true with respect to some drugs for which the risk of adverse effects is generally greater than the potential benefits. We believe that Family Medicine Groups (Groupes de Médecine Familiale (GMF)), in which pharmacists and physicians work in interdisciplinary care, could be an enabling environment to ensure optimal prescription of drugs to seniors.

Initially, we will describe the use of drugs at high risk of adverse events by seniors followed in a GMF. Secondly, we will evaluate the efficacy of a computerized system to recognize seniors who are taking drugs at high risk of adverse effects. Finally, we plan to assess an innovative model of care where seniors' pharmacotherapy, as identified by the computerized system, is jointly reviewed by both a pharmacist and a physician of the GMF in order to determine if changes can be made to the drug treatment. We hypothesize that this project will significantly contribute to reducing the use of drugs at high risk of adverse effects in older adults.